Abstract

DIAZ MACAYA, Carlos Marcelino et al. Highlights on Intrauterine Growth Restriction. Rev Cubana Obstet Ginecol [online]. 2012, vol.38, n.3, pp. 322-332. ISSN 0138-600X.

Introduction:the intrauterine growth restriction (IUGR) is a condition characterized by limited fetal growth potential due to heterogeneous causes and it has variable manifestations. Its importance lies not only in what it means in morbidity and mortality, but also that these children usually have multiple problems further. Objectives: to determine the incidence and frequency of associated risk factors and other conditions commonly associated with this health problem, to determine incidence of intrauterine growth restriction, to identify appropriate diagnosis and follow-up strategies by area and secondary consultation. Methods: we conducted a descriptive, retrospective and longitudinal section study of 133 pregnant women with IUGR, who were assisted at the Teaching Maternal and Child Hospital Diez de Octubre, from January 1^st to July 31^st, 2011. Results: 7.7 % of the infants were small for their gestational age. The uterine height decreased in only 26.3 % of our cases. The underweight in early pregnancy (32.5 %) and insufficient weight gain during pregnancy (61.2 %) were frequent situations. Few cases have been followed up in IUGR hospital consultation (10 %) and were diagnosed at birth. Conclusions: The sensitivity of the uterine height measurement and ultrasound were low to support the suspicion of this entity.

Keywords : intrauterine growth restriction; body mass index; weight gain; uterine height; ultrasonography.

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